Medicare Advantage in Ciales, Puerto Rico
4,258 people in Ciales, Puerto Rico were enrolled in Medicare Advantage in October 2026, 82.8% of 5,144 eligible beneficiaries (−0.2 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 49% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,883 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 22 to 23.
Parent organizations in Ciales
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 2,086 | +29 | 49.2% |
| Elevance Health, Inc. | 1,475 | −197 | 34.8% |
| Guidewell Mutual Holding Corporation | 683 | +225 | 16.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4 beneficiaries in Ciales were assigned to 2 Medicare Shared Savings Program ACOs, 8.4% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.